钼靶X线联合动态增强MRI对乳腺疾病的诊断价值研究

目的探讨钼靶X线联合动态增强MRI对乳腺疾病的诊断价值研究。方法选取我院2015年6月-2016年2月经病理检查诊治的乳腺肿块患者62例,患者均进行钼靶X线检查、MRI平扫、MRI动态增强及弥散加权成像扫描检查,观察乳腺疾病分别在钼靶X线、MRI检查中的影像学表现及诊断准确率,分析钼靶X线检查联合动态增强MRI检查对乳腺疾病的诊断价值。结果钼靶X线检查准确诊断乳腺疾病患者43例,其诊断准确率为69.35%(43/62);MRI检查准确诊断乳腺疾病患者57例,其诊断准确率为91.93%(57/62);联合检查诊断准确率为96.77%(60/62),高于单纯钼靶X线及动态增强MRI检查的准确率,两组数据差异具有统计学意义(P0.05)。结论动态增强MRI对乳腺疾病诊断的准确度高于钼靶X线检查,钼靶X线检查联合动态增强MRI检查能提高对乳腺疾病诊断的准确率,为临床及时制定合理治疗方案提供相关影像学资料。

Diagnostic Value of Mammography Combined with Dynamic Contrast-enhanced MRI in Breast Diseases

Objective To investigate the diagnostic value of mammography combined with dynamic contrast-enhanced MRI in breast diseases. Methods 62 cases of breast masses diagnosed by pathological examination were selected as subjects admitted to our hospital from June, 2015 to February, 2016. The patients were examined by mammography, MRI, MR enhancement and diffusion-weighted imaging. The imaging findings and diagnostic accuracy of molybdenum target X-ray and MRI were analyzed respectively. The diagnostic value of mammography combined with dynamic contrast-enhanced MRI was analyzed. Results The diagnostic accuracy of mammography was 43.35% (43/62). MRI diagnosis was performed in 57 patients with breast disease. The diagnostic accuracy was 91.93% (57/62) (P<0.05). The accuracy of the combined examination was 96.77%(60/62), which was higher than that of pure mammography and dynamic contrast-enhanced MRI. The difference was statistically significant (P<0.05). Conclusion Dynamic contrast-enhanced MRI is more accurate than mammography, and mammography combined with dynamic contrast-enhanced MRI can improve the accuracy of breast disease diagnosis, which provides relevant imaging information for the clinical development of reasonable treatment plan.